Latest Inspection
This is the latest available inspection report for this service, carried out on 12th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Holmlea.
What the care home does well The service is based in a domestic style of property and on the day of our visit it was clean and well equipped. All the staff we spoke to were aware of the need to treat the people living there with dignity and respect, and they told some of the things that are done within the home to ensure it runs in the interests of the residents living there. Staff are well trained and supported by a strong management team and the service has a clear person centred focus and the AQAA showed how the likes of individuals are supported wherever possible, for example, although deaf and blind, one resident enjoys the theatre and the service have arranged with the theatre in Norwich to accommodate them in a special room equipped with sensory aids and large speakers which allow the person to experience some of the sounds and vibrations and which they clearly enjoy. The AQAA also showed how the service listens to people living in the home, supporting them with advocacy services where needed, and how choices are offered to the residents in all areas of their lives. What the care home could do better: The service continues to provide a high level of support, and no significant issues were found. As discussed earlier, the new manger of the service confirmed an application fro registration will be submitted to the commission shortly. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Holmlea 53a Shipdham Road Toftwood Dereham Norfolk NR19 1JL three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alan Buttery Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Holmlea 53a Shipdham Road Toftwood Dereham Norfolk NR19 1JL 01362854165 NOFAX# lorraine.cornwall@sense.org.uk www.sense.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sense, The National Deafblind and Rubella Association Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The number of service users accommodated is increased from five to six.This increase is in respect of a service user named in the Commission`s records and will cease when that service user moves from the home. Date of last inspection Brief description of the care home Holmlea is a purpose built home. It provides a domestic living environment for five adults with learning difficulties who have sensory and physical impairments (deaf/blind). The communal and bedroom accommodation for service users are located on the ground floor. There are five single rooms on the ground floor, each of which has a joint shared full en suite facility.
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home There is access for wheelchairs in all parts of the home. The accommodation is of a high quality, which enables residents the opportunity to lead fulfilled lives. There is car parking at the front of the home and there is a garden to the rear. The home forms part of the residential provision provided by Sense, the National Deaf/Blind and Rubella Association. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The service submitted an Annual Quality Assurance Assessment in March 2010, giving us some good information about the service. Since this was submitted the registered manager of the home, who completed the AQAA has left, and a new manager been appointed. The new manager was not available on the day of our visit, but we spoke to them subsequently and understand that an application for registration will be submitted to the commission shortly. During the visit we spoke with three staff members, who were able to tell us about the service, and how it is run. We also looked at care plans for two of the five residents living in the home. We were told that all five have lived together at Holmlea since it opened. Although no changes to the group of people living in the home are expected, procedures are in place to manage any new admission and these were described in the AQAA. Information is available to people living in the home in a format suited to their individual needs including pictorial, large print, audio and braille versions of the service user guide. We looked at the individual care plans for two of the residents, and these provided comprehensive information about the individual concerned, with strategies in place to deal with issues that may arise. We discussed with the staff present the training that they had received, and this was clearly focused on the needs of the residents as well as the required training, for example all have regular training to manage epilepsy, which affects several residents. The staff working on the day of our visit told about the activities that are arranged for the residents, which include individual and group activities arranged to meet both educational and leisure requirements. The AQAA also detailed the activities available, and plans for the future. Activities include bowling, swimming, theatre trips and shopping and educational programmes including communication and arts and crafts. The three staff members that we spoke to told us of the training that they have received in the past year, including an intensive induction programme that one of them is currently undertaking, and confirmed that they receive excellent support from the service with regular supervision. They also confirmed that this is being continued by the new manager. Training that has been undertaken included safeguarding, moving and handling, epilepsy, medication training, communication and sign language, sexual awareness, issues affecting people who are deaf or blind, food hygiene and first aid. Much of the training is provided by the organisation from their regional office. The service continues to ensure that the commission are notified of any significant events in the home. The new manager spoke of her intention to improve staffing levels, and has already started a recruitment drive. At the present time the home appeared suitably staffed, but
Care Homes for Adults (18-65 years) Page 4 of 8 additional staff will increase the amount of individual time available. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
